NPI 1356532386 · live from the CMS NPI Registry
Victor Azubike Amobi, CRNP-PMH
Nurse Practitioner, Psych/Mental Health in New York, NY. National Provider Identifier 1356532386, active.
NPI record
| NPI | 1356532386 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 169 W 133rd St, New York, NY 10030 |
| Practice phone | 646-762-4950 |
| Mailing address | 2929 Woodland Park Dr, Houston, TX 77082 |
| Enumerated | August 6, 2007 |
| Last updated | November 22, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health | 163WP0808X | 679575 (CA) |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | R178048 (MD) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | 402802 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.